Anorexia nervosa physical examination: Difference between revisions
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{{Anorexia nervosa}} | {{Anorexia nervosa}} | ||
{{CMG}} | {{CMG}} | ||
==Physical Examination== | ==Physical Examination== | ||
===Appearance of the patient=== | ===Appearance of the patient=== | ||
* Extreme weight loss | * Extreme weight loss | ||
* Stunted [[puberty|growth]] | * Stunted [[puberty|growth]] | ||
* [[Body mass index]] less than 17.5 in adults, or 85% of expected weight in children | * [[Body mass index]] less than 17.5 in adults, or 85% of expected weight in children | ||
===Vital Signs=== | ===Vital Signs=== | ||
====Temperature==== | ====Temperature==== | ||
*[[Hypothermia]] | *[[Hypothermia]] | ||
====Pulse==== | ====Pulse==== | ||
=====Rate===== | =====Rate===== | ||
*[[Bradycardia]] | *[[Bradycardia]] | ||
====Blood Pressure==== | ====Blood Pressure==== | ||
*[[Hypotension]] | *[[Hypotension]] | ||
===Skin=== | ===Skin=== | ||
* Growth of [[lanugo]] hair over the body | * Growth of [[lanugo]] hair over the body | ||
* Dry skin | * Dry skin | ||
*Possibly with pallid [[complexion]] | *Possibly with pallid [[complexion]] | ||
===Eyes=== | ===Eyes=== | ||
* Sunken eyes | * Sunken eyes | ||
===Extremities=== | ===Extremities=== | ||
* Creaking joints and bones | * Creaking joints and bones | ||
| Line 41: | Line 26: | ||
* Nails become more brittle | * Nails become more brittle | ||
* [[Tooth decay]] | * [[Tooth decay]] | ||
* Very dry/chapped lips due to malnutrition | * Very dry/chapped lips due to malnutrition | ||
===Miscellaneous=== | ===Miscellaneous=== | ||
====Behavioral==== | ====Behavioral==== | ||
Latest revision as of 18:40, 14 March 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Physical Examination
Appearance of the patient
- Extreme weight loss
- Stunted growth
- Body mass index less than 17.5 in adults, or 85% of expected weight in children
Vital Signs
Temperature
Pulse
Rate
Blood Pressure
Skin
- Growth of lanugo hair over the body
- Dry skin
- Possibly with pallid complexion
Eyes
- Sunken eyes
Extremities
- Creaking joints and bones
- Collection of fluid in ankles during the day and around eyes during the night
- Nails become more brittle
- Tooth decay
- Very dry/chapped lips due to malnutrition
Miscellaneous
Behavioral
- Excessive exercise, food restriction
- Fainting
- Secretive about eating or exercise behavior
- Possible self-harm, substance abuse or suicide attempts
- Very sensitive to references about body weight
- Become very aggressive when forced to eat "forbidden" foods